. Straight Bill of Lading No. ______

Contract Number ______

Order Number ______Load # ______of ______(total loads) TO FROM Consignee: Shipper: Street: Street:

City: City:

ST: Zip: Certification Organization: ______

Farm Certification Number: ______Phone: Member No. (If OCIA)

Weight (LBS) Commodity______Send Copy of Scale Ticket With Driver

Lot #/Crop Year______Scale Location: ______

Trailer/Container # ______Gross Wt.______

Trailer License Plate # ______Tare Wt. (______) _ Seal # ______Seal # ______Net Wt. ______Seal # ______Seal # ______Seal # ______Seal # ______Bushels ______C.T.A.: Container/Trailer has been inspected and determined to be free of contaminates. Shipper Initials here: X ______*If the shipment moves Note: where the rate is dependent on value, Subject to Section 7 of conditions, if this shipment is to be between two ports by a Shippers are required to state specifically in delivered to the consignee without recourse on the consignor, $ ______carrier by water, the law writing the agreed or declared value of the property. the consignor shall sign the following statement: FREIGHT CHARGES requires that the bill of The agreed or declared value of the property is hereby The carrier shall not make delivery of this lading shall state whether specifically stated by the shipper to be not exceeding: Shipment without payment of freight, and all Check Appropriate Box: it is “carrier’s or shippers Other lawful charges. weight.” $______per______Freight Prepaid ______Signature of Consignor Collect

RECEIVED, subject to the classifications and lawfully filed tariffs in effect on the date of the issue of receipt by the carrier of the property described in the Original Bill of Lading, the property described above in apparent good order, except as noted (contents and condition of contents of packages unknown), marked consigned, and destined as indicated above, which said carrier (the word carrier being understood throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to its usual place of delivery at said destination, if on its route, otherwise to deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of said property over all or any portion of said route to destination and as to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be subject to all the terms and conditions of the governing classification on date of shipment. Shipper herby certifies that he is familiar with all the terms and conditions of the said bill of lading, set forth in the classification or tariff which governs the transportation of this shipment and the said terms and conditions are hereby agreed to by the shipper and accepted fro himself and his assigns. “This is to certify that the above name materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation, according to the applicable regulations of the Department of Transportation. Shipper Signature:______Carrier Signature:______

Company:______Company: ______

Date:______Date:______

(1)White Copy-Keep (2)Lt. Yellow Copy- Extra (3)Pink Copy-Carrier (4)Gold Copy-Consignee